Miss Rosan Mendoza Derayunan, FNP-BC - Medicare Nurse Practitioner in Simi Valley, CA

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Miss Rosan Mendoza Derayunan, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Simi Valley, California. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1720 E Los Angeles Ave Ste 231, Simi Valley, California. You can reach out to her office (for appointments etc.) via phone at (805) 980-7574.

Miss Rosan Mendoza Derayunan is licensed to practice in California (license number 95018575) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740942481.

Contact Information

Miss Rosan Mendoza Derayunan, FNP-BC
1720 E Los Angeles Ave Ste 231,
Simi Valley, CA 93065-5813
(805) 980-7574
(805) 426-8781

Map and Direction




Provider's Profile

Full NameMiss Rosan Mendoza Derayunan
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1720 E Los Angeles Ave Ste 231, Simi Valley, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Rosan Mendoza Derayunan graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1740942481
  • Provider Enumeration Date: 10/11/2021
  • Last Update Date: 03/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628464195
  • Enrollment ID: I20220408002241

Medical Identifiers

Medical identifiers for Miss Rosan Mendoza Derayunan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740942481NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95018575 (California)Primary
363L00000XNurse Practitioner 95018575 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
L&r Home Health, IncVan nuys, CAHome health agency

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Rosan Mendoza Derayunan allows following entities to bill medicare on her behalf.
Entity NameGlobal Integrated Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578019485
PECOS PAC ID: 6709173487
Enrollment ID: O20160923000187
Entity NameAdvanced Hematology Oncology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083142376
PECOS PAC ID: 3779840459
Enrollment ID: O20171205002504
Entity NameGlobal Mobile Medical Alliances, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467960310
PECOS PAC ID: 4688934458
Enrollment ID: O20180216000940
Entity NameGlobal Medical Grp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629682067
PECOS PAC ID: 7113336017
Enrollment ID: O20210505001720
Entity NameHumanity Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992407381
PECOS PAC ID: 9638526452
Enrollment ID: O20231115001996

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Rosan Mendoza Derayunan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Rosan Mendoza Derayunan, FNP-BC
2788 Fyler Pl,
Los Angeles, CA 90065-5106

Ph: (323) 317-1769		Miss Rosan Mendoza Derayunan, FNP-BC
1720 E Los Angeles Ave Ste 231,
Simi Valley, CA 93065-5813

Ph: (805) 980-7574

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.